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I usually test serology, PCR and FISH to give the best chance of yielding positive results if the infection is present

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Most people improve with time alone

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Symptoms of Gamekeeper's Thumb When the findings reveal an overstretching of the ligament or an incomplete avulsion, typical symptoms include: Pain and/or inflammation at the ulnar aspect of the metacarpophalangeal joint (MCPJ) Bruising of the MCPJ may be present Pain or weakness when pinching an object between thumb and forefinger Tenderness with palpation Treatment Options for Gamekeeper's Thumb As with most injuries, proper diagnosis and early intervention are key to successfully managing a UCL tear or disruption